Homestead_Wade (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER ,
Kathy Masterson CLOSING AGENT
Proparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street)
E-mail
E.SELLER(S)/GRANTOR(S)
Virgil Hanganu
Seller 1-Name as appears on conveyance document Seller 2-NUM'us appears on conveyance document
202 E.Ulen St.
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648
City,State,and ZIP Code City,State,and ZIP Code
vhanganu@yahoo.com
Telephone Number E-mail Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Virgil Hanganu 03/27/2020
Printed Name ofSeller Sign mute(MM/n0/YYn') Printed MIMIC o)Seller Sign Date(MM/DD/YYYi)
Y RANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Jacob Wade
was appears o nvcyanredacumrr Buyer 2-Name as appears on conveyance document
(Number and 5,t J yl _/ i/ r{ .(/..,,r)I , ` Ad,lrecs(Number and Street)
E-mail Telephone Number Mar 3n 7n7n E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE 'FYIIUEFTIFY ALL OF TAOS T APPLY. �/y'
YES CONDITION YES CONDITION �t ,,/+�'
El 1.Will this property be the buyer's primary !� 3.Homestead GIBSO!`N^'COUNTY"ryry'AUDITOR CB
residence? Provide complete address of primary
residence,including county: ❑ Solar Energy Heating/Cooling System
❑ 5.Wind Power Device
202 E.Ulen St. ❑ EV 6.Hydroelectric Power Device
Address(Number and Street)
❑ 7.Geothermal Energy Heating/Cooling Device
Fort Branch,IN 47648 Gibson ❑ la/8.Is this property a residential rental property?
Cw.'State ZIP e County El � �
111 y.Would you like to receive tax statements for this
❑ 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, Not available in all counties.)
including county'
WOO1 rj t/ CZ- Up-rt/�
ss( b r ILL (41`V r ffl / c (f4� 2=26-18-13-40OOO. 217-O26
utv'State ZIP Code Comity Primary property ownc'r contact concur E-mail